Organization
ETIENNE T. NGOUMGNA
Active
Other names
Etienne T. Ngoumgna
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ETIENNE T NGOUMGNA PAC MSC MHS (PHYSICIAN ASSISTANT)
(410) 368-3000
Entity
Organization
Contact information
Practice address
900 S CATON AVE, BALTIMORE, MD 21229-5201
(410) 368-3000
Mailing address
302 CASPIAN CT, EDGEWOOD, MD 21040-3612
(410) 676-8938
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
C0002500
MD
Other
Enumeration date
03/08/2007
Last updated
07/19/2008
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